BETHANY ON 42ND
NPI 1043451123
Skilled Nursing Facility in Fargo, ND

Active since March 18, 2009CLIA 35D1099200 · Waiver
3/5
Overall Rating
201 UNIVERSITY DR S, FARGO, ND 58103(701) 239-3000(701) 239-3237 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany On 42nd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY ON 42ND (NPI 1043451123) is a healthcare organization registered as a skilled nursing facility in Fargo, North Dakota and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Shawn Stuhaug, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1043451123
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBETHANY ON 42ND
Location Address201 UNIVERSITY DR SFargo, ND 58103-1775
Mailing Address4255 30th Ave SFargo, ND 58104-8427 · (701) 239-3000 · Fax (701) 239-3237
Fax(701) 239-3237
Organization SubpartNo
Authorized OfficialShawn StuhaugPresident/ceo · (701) 239-3523
Enumeration DateMarch 18, 2009
Last NPPES UpdateFebruary 22, 2010
NPI 1043451123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

201 UNIVERSITY DR S, Fargo, ND 58103

Other Identifiers 3

Medicaid30492ND
Medicare OSCAR/certification355123ND
Medicaid1043451123MN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D1099200

Bethany On 42nd · Fargo, ND
Active · expires May 6, 2027
CLIA Number35D1099200
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorDawn Hummel
Laboratory Phone(701) 239-3000
Laboratory LocationBethany On 42nd4255 30th Ave S, Fargo, ND 58104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Bethany On 42nd (CMS certification number 355123), from CMS Care Compare.

Bethany On 42nd

Nursing home · Fargo, ND
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355123
Certified Beds116 beds114 residents per day on average
Medicare & Medicaid Participant SinceJanuary 20, 2010
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
27.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.71 · LPN 0.76 · RN 0.6
5.07 hrs per resident per day
Weekend Nurse Staffing
4.59 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.5%
Registered Nurse Turnover
65.4%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
201 UNIVERSITY DR S
FARGO, ND 58103
Physical Therapist
201 UNIVERSITY DR S
FARGO, ND 58103
Physical Therapist
201 UNIVERSITY DR S
FARGO, ND 58103
Skilled Nursing Facility
201 UNIVERSITY DR S
FARGO, ND 58103
Clinic/Center (Rehabilitation)
201 UNIVERSITY DR S
FARGO, ND 58103
Physical Therapy Assistant
201 UNIVERSITY DR S
FARGO, ND 58103
Pharmacist (Pharmacotherapy)
201 UNIVERSITY DR S
FARGO, ND 58103
Occupational Therapist
201 UNIVERSITY DR S
FARGO, ND 58103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany On 42nd's NPI number?

The NPI number for Bethany On 42nd is 1043451123. It was assigned to this organization in the NPPES registry on March 18, 2009.

Where is Bethany On 42nd located?

Bethany On 42nd is located at 201 University Dr S, Fargo, ND 58103. The listed phone number is (701) 239-3000.

What is Bethany On 42nd's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bethany On 42nd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1099200) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bethany On 42nd a Medicare-certified nursing home?

Yes. Bethany On 42nd is a Medicare-certified nursing home with 116 certified beds.

What quality rating does Bethany On 42nd have?

CMS rates Bethany On 42nd 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bethany On 42nd accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Bethany On 42nd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany On 42nd was last updated on February 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.